What is good to eat after rectal cancer surgery?

Written by Deng Heng
Colorectal Surgery
Updated on December 16, 2024
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Patients who have undergone surgery for rectal cancer should pay attention to the following points regarding their diet:

First, consume a moderate amount of foods containing monounsaturated fatty acids, such as olive oil and tuna.

Second, avoid overheating animal products and vegetable oils during cooking.

Third, eat more foods rich in dietary fiber, such as konjac, soy and its products, fresh vegetables and fruits, and algae.

Fourth, intake vitamins and trace elements by eating fresh vegetables and fruits to supplement carotene and vitamin C, and consume appropriate amounts of walnuts, peanut milk, products, and seafood to supplement vitamin E. Pay attention to the intake of foods rich in the trace element selenium, such as malt, fish, and mushrooms.

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What causes rectal cancer?

The occurrence of rectal cancer is a process involving multiple factors and multiple steps, and it is the result of the interaction between environmental factors and genetic factors of the body. To date, its causes are not completely understood, but there are some factors that are considered high-risk. First, dietary factors are generally believed to be high in animal protein, high fat, and low fiber, which are significant factors in the high incidence of rectal cancer. Second, lifestyle factors such as prolonged sitting, smoking, drinking, being overweight, and obesity may increase the incidence of rectal cancer. Third, having a history of medical surgeries. Fourth, environmental factors, such as asbestos workers. Fifth, genetic factors.

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Can a colonoscopy detect colon and rectal cancer?

Colonoscopy can detect colon and rectal cancers. By conducting a colonoscopy, it can be determined whether a space-occupying lesion is in the colon or the rectum. In the workplace, it can also confirm the distance from the anus in centimeters, to guide the next steps of surgical treatment. If a colon or rectal tumor is found during colonoscopy, a pathological biopsy may be needed. Combined with the pathological biopsy, a diagnosis can be made whether the patient has colon cancer or rectal cancer. At the same time, colonoscopy can also detect other diseases, such as colon polyps, ulcerative colitis, Crohn's disease of the colon, and so on.

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Can rectal cancer be cured?

If rectal cancer is detected in its early stages, such as stage I or II, curative surgery can be performed. Postoperative decisions regarding the necessity of adjuvant radiotherapy or chemotherapy are based on the postoperative pathological staging. Early-stage rectal cancer patients can achieve a cure through surgical treatment combined with some postoperative adjuvant therapies. After curative surgery, the overall five-year survival rate is approximately 50%. However, this rate can vary and is associated with several factors such as postoperative pathology, whether there is lymph node metastasis, the presence of vascular tumor thrombi, and nerve invasion, among other high-risk factors for recurrence, showing certain individual differences. Yet, early-stage rectal cancer patients can achieve a cure through these methods.

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What tests are used to check for rectal cancer?

When clinical symptoms such as diarrhea or constipation, changes in bowel habits, bloody stools, and abdominal pain occur, we should be vigilant about the possibility of rectal cancer. The examination for rectal cancer can start with a digital rectal exam, especially for low-lying rectal cancer, which is closer to the anus; these tumors can be detected through this method. Then, a colonoscopy should be performed to take a biopsy to confirm the diagnosis, which is the gold standard for confirmation. Additionally, blood tests for tumor markers can be conducted. Generally, carcinoembryonic antigen (CEA) and CA199 levels may be elevated, but this is not absolute as their specificity and sensitivity are not very high. An enhanced CT scan of the abdomen can also be done. In such scans, we can see thickening of the intestinal wall where the tumor is located, and the enhancement can show the intensified thickening of the intestinal wall. Combining all these methods can confirm the diagnosis of rectal cancer.

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What is the best food to eat after rectal cancer surgery?

For malignant tumors and colorectal cancer, the suggested dietary recommendations after surgery include, first and foremost, consuming nutritious foods to replenish the nutrients depleted by the surgery and the tumor. It is advisable to eat more nutritional items. Secondly, after surgery for rectal cancer, it's important to avoid hard-to-digest and gas-producing foods such as beans, milk, and eggs. Thirdly, it is recommended to consume easily digestible items like soups and nutritious porridge. The fourth recommendation is to avoid spicy and irritating foods, and abstain from alcohol and smoking.